Individual
ANNA BLAIR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY STE 230, MATTHEWS, NC 28105-2388
(704) 384-8615
(704) 384-6792
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2018-00968
NC
208C00000X
Colon & Rectal Surgery Physician
Primary
2018-00968
NC
390200000X
Student in an Organized Health Care Education/Training Program
183548
NC
Other
Enumeration date
05/10/2012
Last updated
09/18/2023
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